In simple words: A doctor uses a small camera tube (endoscope) to inject a substance into the tissues around the urethra or bladder neck to help control urine leakage.

This procedure involves injecting a natural or synthetic material into the submucosal tissue of the urethra and/or bladder neck using an endoscope.This is done to treat urinary incontinence. The provider inserts an endoscope through the urethra to visualize the area and then uses a needle to inject the implant material.This material helps to strengthen the urethral sphincter muscles, improving bladder control.

Example 1: A 65-year-old female experiences stress urinary incontinence and elects to undergo endoscopic injection of bulking agents., A male patient with a history of prostate surgery develops urinary incontinence and is treated with an injection of implant material to improve sphincter closure., A patient with intrinsic sphincter deficiency undergoes a minimally invasive procedure involving endoscopic injection of a synthetic material to augment the urethral sphincter.

Documentation should include details about the type of implant material used, the location of the injection(s), the pre- and post-injection assessment of the patient’s incontinence, and any complications encountered. The medical necessity of the procedure should be clearly justified, citing the patient's symptoms, prior treatments, and impact on quality of life.